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NHI’s Catastrophic Care Programme to Alleviate Massive Financial Burdens on Families

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Bahamas, June 19, 2017 – Nassau – The NHI’s catastrophic care programme will begin the process to alleviate the massive financial burdens that families shoulder, Minister of Health Dr. the Hon. Duane Sands said.

The $40 million, which will be allocated to NHI for the 2017/18 Fiscal Year, will be carefully managed to cap expenditure on primary care to about $15 million and catastrophic care to $15 million, Dr. Sands explained during his Budget Contribution, Wednesday, June 14, 2017.

“We will cap the per patient benefit and specify the benefits.

“We will isolate the benefits from political interference and ensure value for patients and the public purse.”

The Health Minister added, “We will not damage existing industries and businesses, but seek partnerships in the delivery of care.”

He said the new Public Health Authority Board has been mandated to eliminate waste and inefficiency so that next year the Government would be able to commit as much as $100 million to the NHI programme.

Dr. Sands said contracts with existing providers and vendors will be reviewed and renegotiated.

“The NHI infrastructure will be downsized and made to function as a lean efficient team under the leadership of Dr. Delon Brennen.

“Many of the big ticket contracts for professional consultation and public relations will be dramatically reduced and redirected where possible to utilize local Bahamian expertise,” Dr. Sands said.

“We will re-engage local providers and stakeholders to develop a product which is less a political tool and more a national solution.”

He said this new shift forward on NHI starts immediately and the Government will be working quickly to ensure:

1. The broader acceptance of NHI and increase physician participation in the program to ensure that Bahamians can see the doctor of their choice and receive high quality healthcare.

2. That a robust catastrophic care program is managed fairly and free of political interference.

3. That a proper governance structure with a high-functioning board is put in place by the end of the first quarter.

“Looking ahead, NHI will need to be sustainably funded. The priority to achieving this is to aggressively pursue savings within the existing health system, and de-fund programs that are not providing value to Bahamian people. Longer-term sustainable financing measures will need to be identified as NHI provides value to Bahamians and expands its benefits.”

He noted that Bahamians pay enormous amounts for healthcare now and do not get the same value for money spent as certain other countries.

The Health Minister said before this administration demands a tax, levy or contribution above or beyond what is already collected, the Government must and will ensure that waste and inefficiency are cut out of the system.

“Let us remember that NHI is a social programme that is more than three decades in the making in The Bahamas, and one that has continued to evolve across administrations.

“This administration will continue its implementation but in a way that is sustainable, collaborative and increasingly more focused on the catastrophic episodes that can bankrupt families,” Dr. Sands said.

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What 45 Shell Casings and New Murder Charges May Mean for Three Officers in the Azario Major Case  

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By Deandrea Hamilton | Editor

NASSAU, Bahamas (July 16, 2026) — The allegation is as shocking as it is consequential. Prosecutors now contend Azario Major was struck by additional gunfire after he was already dead.  That conclusion has prompted the Director of Public Prosecutions to upgrade the case against three police officers from manslaughter to murder ahead of a judge-only trial.

According to court filings and the DPP’s review of the forensic evidence, prosecutors allege that additional rounds entered Major’s body after death, a finding they say fundamentally changed their assessment of the case and justified the more serious charge of murder.

Investigators recovered 45 spent shell casings at the scene of the Boxing Day 2021 fatal shooting of Azario Major, a striking piece of forensic evidence that has remained central to the case from its earliest days.

Major, 31, was fatally shot by police outside Woody’s Bar on Fire Trail Road on December 26, 2021. While police initially maintained the shooting was justified, the circumstances surrounding the incident were heavily scrutinized during a Coroner’s Court inquest, where jurors ultimately returned a verdict of homicide by manslaughter.

The officers later challenged that finding, but the Supreme Court upheld the Coroner’s Court ruling, paving the way for criminal proceedings. They were subsequently arraigned on manslaughter charges and pleaded not guilty.

The DPP’s decision to elevate the charges to murder significantly raises the legal stakes. Unlike manslaughter, which does not necessarily require proof of an intent to kill, a murder conviction requires prosecutors to establish the legal elements of the more serious offence beyond a reasonable doubt. The prosecution’s case is now expected to focus heavily on forensic evidence, ballistic analysis and the sequence of gunfire during the fatal encounter.

The case is also notable because it will proceed without a jury. Barring further delays, the trial is expected to open on September 14 before Justice Guillimina Archer-Minns in a judge-alone trial, where a single judge—not a jury—will decide the fate of the three accused officers.

The proceedings will determine not only whether the three officers are guilty or innocent of murder, but whether prosecutors’ extraordinary allegation—that Azario Major was struck by additional gunfire after he was already dead—can be proven in court.

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CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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Bahamas’ Ghana Teacher Plan Draws Fire as Both Nations Face Shortages

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By Deandrea Hamilton | Editor

NASSAU, Bahamas (July 14, 2026) — The Bahamas Government says it needs the 300 teachers being sourced from Ghana to help close a critical staffing gap, even as criticism mounts over unresolved employment matters reportedly affecting approximately 2,000 Bahamas Union of Teachers members and as Ghana itself struggles with a massive shortage in the profession.

Deputy Prime Minister and Minister of Education, Science and Technology Chester Cooper said the shortage has been worsened by retirements, expiring contracts and the expansion of specialized subjects, including special education, technology, financial literacy, digital literacy and entrepreneurship.

Cooper said the Government has established a multi-agency task force and is attempting to attract recently retired teachers, new graduates and educators who previously left the profession.

“In keeping with government policy, Bahamians will be given first priority to fill all vacancies,” Cooper said.

However, the optics surrounding the decision are sketchy at best, with the BUT pressing the Government to settle long-standing matters affecting its members while Ghana grapples with a teacher shortage estimated at no fewer than 50,000 educators.

Ghana’s Minister of Education, Haruna Iddrisu, recently disclosed that the country needs between 50,000 and 90,000 additional teachers to adequately staff its schools.

UNICEF’s 2026 Teachers for All: Ghana report confirms that Ghana is not only experiencing an overall teacher shortage but also serious inequalities in how available teachers are distributed. It found that rural and underserved schools are particularly affected, while Ghana’s primary teacher workforce fell by more than 25 percent—from 131,094 in 2019–2020 to 93,818 in 2022–2023—as student enrolment increased.

The report stated:

“Not only is there a teacher shortage in Ghana, but inefficiencies also exist in the current distribution of available teachers.”

That finding raises questions about why a country with such a significant domestic deficit is prepared to facilitate the overseas recruitment of hundreds of educators.

Meanwhile, BUT President Belinda Wilson has argued that the Bahamian Government has substantial unfinished business with the teachers already serving in the public system.

According to Wilson, approximately 2,000 educators are awaiting the conclusion of salary negotiations, while hundreds reportedly have unresolved matters involving confirmations, salary reassessments, promotions, rental allowances, examination marking fees, disturbance allowances, hardship payments and coaching allowances.

The union has also complained that it was not properly consulted before the proposed recruitment became public and has demanded details about the qualifications, subjects, deployment locations and employment conditions being considered for the Ghanaian teachers.

The debate is also unfolding as the University of The Bahamas has produced approximately 219 education graduates over the past three years—76 in 2024, more than 60 in 2025 and 73 in 2026.

Cooper maintains that overseas recruitment is intended only to fill positions that cannot immediately be occupied by qualified Bahamians.

“For decades, we have benefitted from strategic international recruitment of educators from partner nations,” he said. “We emphasize that such recruitment is intended only to address vacancies that cannot be immediately filled by qualified Bahamians.”

Still, the questions remain: why are outstanding matters affecting thousands of Bahamian teachers unresolved, and why is The Bahamas sourcing educators from a country that acknowledges it is tens of thousands of teachers short itself?

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